Active NPI
Miranda Eddy Talmage, CPNP-PC
- Pediatric Nurse Practitioner
- Pell City, AL
National Provider Identifier
1952917502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-144300
- Practice address
- 1508 Cogswell Ave
Pell City, AL 35125-1243 - Phone
- (256) 418-4300
- Fax
- (888) 827-8932
- NPI assigned
- Sep 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-144300 | AL | Primary |
Addresses
Primary practice location
1508 Cogswell Ave
Pell City, AL 35125-1243
Mailing address
1100 Birchall LN Apt 306
Hoover, AL 35226-6444
Phone (205) 317-7175
Other practice location 1
2343 2nd Ave E
Oneonta, AL 35121-2756
Phone (205) 625-3332
Other practice location 2
801 North St E
Talladega, AL 35160-2529
Phone (256) 418-4301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-144300 | AL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing Up Pediatrics, P.C. | Past | Accepting new patients | |
| Smart Care, LLC | Past | Accepting new patients | |
| Horizon Medical Clinic LLC | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Birmingham, AL
- NPI 1356456214
-
- Multi-Specialty Clinic/Center
- Oneonta, AL
- NPI 1588904791
-
- Pediatrics Physician
- Talladega, AL
- NPI 1922615749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1952917502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 BIRCHALL LN APT 306",
"city": "HOOVER",
"state": "AL",
"postal_code": "352266444",
"telephone_number": "205-317-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1508 COGSWELL AVE",
"city": "PELL CITY",
"state": "AL",
"postal_code": "351251243",
"telephone_number": "256-418-4300",
"fax_number": "888-827-8932"
}
],
"practiceLocations": [
{
"address_1": "2343 2nd Ave E",
"address_purpose": "LOCATION",
"city": "Oneonta",
"state": "AL",
"postal_code": "351212756",
"country_code": "US",
"telephone_number": "205-625-3332",
"fax_number": "205-625-3342",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 North St E",
"address_purpose": "LOCATION",
"city": "Talladega",
"state": "AL",
"postal_code": "351602529",
"country_code": "US",
"telephone_number": "256-418-4301",
"fax_number": "888-827-8932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALMAGE",
"first_name": "MIRANDA",
"middle_name": "EDDY",
"credential": "CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-144300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pell City, AL
- Fan Su, PT
- Mary Sue Suggs
- Surgical Clinic St. Clair PC
- Baleigh Morgan Swaney, RN
- Rebecca Van Dyke Sweezey, MPT
- Chelsea Taylor
- Mary Terral
- The Children's Hospital of Alabama (Pell City Pediatrics)
- The Summit Health & Rehab Services, Inc (Colonel Robert L. Howard State Veterans Home)
- Therapy South Pell City, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.